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Individual

HOANG PHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13719 LORAIN AVE, CLEVELAND, OH 44111-3439
(216) 307-3005
(216) 710-5360
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(216) 307-3005
(216) 710-5360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.014286
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/11/2017
Last updated
02/01/2022
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